,1. The most appropriate initial nursing intervention when the nurse notes
dysfunctional interactions and lack of family support for a
patient would be to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Nurses can, at times, role model more appropriate interactions
or provide suggestions for improving communication and
interactions among family members. If the nurse determines that
the number of visitors has a negative impact on the
patient, hospital policy may be to limit
visitors, but that would not be the initial action.
Monitoring the dysfunctional interactions would not be an
adequate response. The primary care provider
should certainly be notified, but that would
not be the initial response.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The nurse caring for a patient would identify a need for
additional interventions related to family dynamics when
a. extended family offers to help.
b. family members express cNoncern.
c. the ill member demands attention.
d. memories are shared. ANS: C
It is not uncommon for the ill family member to become
demanding and indicate that they deserve special treatment
and care, and the supportive family may need assistance in
understanding the dynamics of the illness in order to continue
to be supportive. Offers from extended family to help can be
indicative of positive dynamics. Concern expressed by family
members can be indicative of positive dynamics. Sharing of
family memories can be indicative of positive dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Two women have an established long-term relationship and are attending
parenting classes in anticipation of finalizing adoption of a
baby. The nurse identifies them as which type of family? a.
Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
This family would be considered a same-sex family. Cohabiting
refers to a couple who live together with no legal bond.
,Nuclear refers to the traditional male and female core
family with one or more children.
Single parent refers to a family with one adult and one or
more children.
, OBJ: NCLEX Client Needs Category: Psychosocial Integrity
dysfunctional interactions and lack of family support for a
patient would be to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Nurses can, at times, role model more appropriate interactions
or provide suggestions for improving communication and
interactions among family members. If the nurse determines that
the number of visitors has a negative impact on the
patient, hospital policy may be to limit
visitors, but that would not be the initial action.
Monitoring the dysfunctional interactions would not be an
adequate response. The primary care provider
should certainly be notified, but that would
not be the initial response.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The nurse caring for a patient would identify a need for
additional interventions related to family dynamics when
a. extended family offers to help.
b. family members express cNoncern.
c. the ill member demands attention.
d. memories are shared. ANS: C
It is not uncommon for the ill family member to become
demanding and indicate that they deserve special treatment
and care, and the supportive family may need assistance in
understanding the dynamics of the illness in order to continue
to be supportive. Offers from extended family to help can be
indicative of positive dynamics. Concern expressed by family
members can be indicative of positive dynamics. Sharing of
family memories can be indicative of positive dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Two women have an established long-term relationship and are attending
parenting classes in anticipation of finalizing adoption of a
baby. The nurse identifies them as which type of family? a.
Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
This family would be considered a same-sex family. Cohabiting
refers to a couple who live together with no legal bond.
,Nuclear refers to the traditional male and female core
family with one or more children.
Single parent refers to a family with one adult and one or
more children.
, OBJ: NCLEX Client Needs Category: Psychosocial Integrity
